Organization
ALEXANDER GUDZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE PAGUILIGAN (CREDENTIALING COORDINATOR)
(908) 249-9512
Entity
Organization
Contact information
Practice address
515 N WOOD AVE STE 302, LINDEN, NJ 07036-4173
(973) 986-5576
Mailing address
515 N WOOD AVE STE 302, LINDEN, NJ 07036-4173
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202284043
TAX ID
NJ
Enumeration date
08/11/2017
Last updated
08/11/2017
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